COMPREHENSIVE QUESTIONS AND ANSWERS
GRADED A+
⩥ Testing the brachioradialis reflex helps localize lesions in which
cervical nerve root? Answer: C6
⩥ Testing the triceps reflex helps localize lesions in which cervical nerve
root? Answer: C7
⩥ Testing the knee jerk reflex helps localize lesions in which nerve
root(s)? Answer: L3/L4
⩥ Testing the Achilles reflex helps localize lesions in which nerve
root(s)? Answer: L5/S1
⩥ What is being tested with a monofilament for diabetic neuropathy?
Answer: Intact sensation
⩥ Decreased sensation to monofilament testing in the feet of a patient
with diabetes may indicate an increased risk of which complication?
Answer: Skin ulcers
,⩥ Where is the dermatome that corresponds to the C6 nerve root?
Answer: In the thumb and 1st web space
⩥ Where is the dermatome that corresponds approximately to the T10
nerve root? Answer: At the level of the umbilicus
⩥ Which is TRUE regarding Hoffman's maneuver? Answer: It indicates
upper motor neuron involvement.
⩥ What is a positive Lhermitte's sign? Answer: It involves flexion of the
neck causing an "electric-like" sensation that runs down the back.
⩥ What physical exam finding is indicative of a cervical nerve root
radiculopathy? Answer: Positive foraminal compression test
⩥ What type of headache might present with a "thunderclap" intense
onset of pain? Answer: Headache due to a subarachnoid hemorrhage
⩥ What type of headache is often associated with symptoms of nausea,
photophobia, and phonophobia Answer: Migraine headache
⩥ Which cranial nerve (CN) affects the sensory as well as the motor
function of the face? Answer: trigeminal nerve
,⩥
What cranial nerve (CN) palsy leads to the eye not being able to move
laterally on exam? Answer: CN VI: abducens nerve
⩥ Which three cranial nerves control ocular movements? Answer: III,
IV, and VI
⩥ How do you test for an afferent pupillary defect on a physical
examination? Answer: Using the swinging flashlight test
⩥ What is a Snellen chart used for during a cranial nerve examination?
Answer: To test visual acuity
⩥ Which cranial nerve (CN) do the Weber and Rinne tests evaluate?
Answer: CN VIII: cochlear nerve
⩥ Which cranial nerves (CN) are tested by asking the patient to elevate
their palate by saying "AH?" Answer: CN X: vagus nerve and CN IX:
glossopharyngeal nerve
⩥ Which cranial nerve (CN) is tested by asking the patient to turn their
head against resistance? Answer: CN XI: accessory nerve
⩥ Which cranial nerve (CN) is tested by asking the patient to move their
tongue from side to side? Answer: CN XII: hypoglossal nerve
, ⩥ Which condition most commonly causes sacroiliitis or pain in the
sacroiliac joints? Answer: Ankylosing spondylitis
⩥ Pain and tenderness over the lateral hip are most commonly seen in
which condition? Answer: Trochanteric bursitis
⩥ Pain and burning in the anterior and lateral thigh are usually due to
what condition? Answer: Meralgia paresthetica
⩥ Piriformis syndrome can mimic what other condition? Answer:
Sciatica
⩥ Osteoarthritis of the hip produces pain most commonly with which
maneuver? Answer: Internal rotation of the hip joint
⩥ What area is tender with iliopsoas bursitis? Answer: Tenderness is
elicited over the inguinal ligament.
⩥ So this is a 59-year-old woman with a medical history of type two
diabetes and tobacco use disorder who's presenting with a cough,
leftsided pleuritic chest pain and shortness of breath for the last two
days.
Answer: